Civic Intelligence

Sutter Health

990 • Fiscal year 2020 • EIN 94-2788907

Jan 01, 2020 to Dec 31, 2020 • Filed on Nov 10, 2021

2200 River Plaza DriveSacramento, CA 95833

(916) 286-6665

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

85th percentile

0.73x

Higher debt load relative to assets than 85% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Liabilities / Revenue

86th percentile

2.62x

Higher debt load relative to revenue than 86% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Net Margin

12th percentile

-4.6%

Higher net margin than 12% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Top Officer Pay

80th percentile

$3,562,675

Higher top officer pay than 80% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Asset Growth

15th percentile

0.3%

Faster asset growth than 15% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2019 to 2020

Revenue Growth

33rd percentile

-1.1%

Faster revenue growth than 33% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2019 to 2020

Assets

Up

$6,846,370,331

Up $17,532,682 (+0.3%) from 2019

Net Assets

Down

$1,861,900,370

Down $2,136,027,626 (-53%) from 2019

Liabilities

Up

$4,984,469,961

Up $2,153,560,308 (+76%) from 2019

Revenue

Down

$1,902,925,267

Down $21,981,929 (-1.1%) from 2019

Expenses

Down

$1,991,189,681

Down $479,912,455 (-19%) from 2019

Net Income

Up

-$88,264,414

Up $457,930,526 (+84%) from 2019

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$10B$5.0B$0Assets 2010: $3,065,101,682Liabilities 2010: $903,349,228Net Assets 2010: $2,161,752,4542010Assets 2011: $3,124,343,949Liabilities 2011: $774,697,304Net Assets 2011: $2,349,646,6452011Assets 2012: $3,784,610,021Liabilities 2012: $879,125,366Net Assets 2012: $2,905,484,6552012Assets 2013: $5,062,427,843Liabilities 2013: $1,089,540,138Net Assets 2013: $3,972,887,7052013Assets 2014: $4,587,642,833Liabilities 2014: $1,448,664,625Net Assets 2014: $3,138,978,2082014Assets 2015: $4,433,603,374Liabilities 2015: $1,449,852,079Net Assets 2015: $2,983,751,2952015Assets 2016: $4,975,409,814Liabilities 2016: $1,652,143,673Net Assets 2016: $3,323,266,1412016Assets 2017: $6,183,194,015Liabilities 2017: $1,760,458,511Net Assets 2017: $4,422,735,5042017Assets 2018: $6,154,465,074Liabilities 2018: $1,997,704,182Net Assets 2018: $4,156,760,8922018Assets 2019: $6,828,837,649Liabilities 2019: $2,830,909,653Net Assets 2019: $3,997,927,9962019Assets 2020: $6,846,370,331Liabilities 2020: $4,984,469,961Net Assets 2020: $1,861,900,3702020Assets 2021: $7,362,884,645Liabilities 2021: $3,458,320,968Net Assets 2021: $3,904,563,6772021Assets 2022: $7,413,868,753Liabilities 2022: $3,320,856,179Net Assets 2022: $4,093,012,5742022Assets 2023: $8,620,071,538Liabilities 2023: $4,271,166,300Net Assets 2023: $4,348,905,2382023Assets 2024: $9,601,618,724Liabilities 2024: $4,994,217,791Net Assets 2024: $4,607,400,9332024

Highlighted filing

2020

Assets$6,846,370,331
Liabilities$4,984,469,961
Net Assets$1,861,900,370

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$3.0B$2.0B$1.0B$0-$1.0BExpenses 2010: $649,318,9622010Revenue 2011: $756,097,787Expenses 2011: $716,153,696Net Income 2011: $39,944,0912011Expenses 2012: $930,813,8132012Revenue 2013: $998,180,230Expenses 2013: $1,141,551,506Net Income 2013: -$143,371,2762013Revenue 2014: $1,230,215,940Expenses 2014: $1,245,802,811Net Income 2014: -$15,586,8712014Revenue 2015: $1,274,500,314Expenses 2015: $1,366,048,444Net Income 2015: -$91,548,1302015Revenue 2016: $1,322,855,228Expenses 2016: $1,486,642,058Net Income 2016: -$163,786,8302016Revenue 2017: $1,760,855,997Expenses 2017: $1,560,474,442Net Income 2017: $200,381,5552017Revenue 2018: $1,794,571,777Expenses 2018: $1,802,629,517Net Income 2018: -$8,057,7402018Revenue 2019: $1,924,907,196Expenses 2019: $2,471,102,136Net Income 2019: -$546,194,9402019Revenue 2020: $1,902,925,267Expenses 2020: $1,991,189,681Net Income 2020: -$88,264,4142020Revenue 2021: $2,415,559,097Expenses 2021: $1,822,265,779Net Income 2021: $593,293,3182021Revenue 2022: $1,918,502,649Expenses 2022: $1,858,439,658Net Income 2022: $60,062,9912022Revenue 2023: $1,882,657,852Expenses 2023: $2,070,243,600Net Income 2023: -$187,585,7482023Revenue 2024: $2,685,790,764Expenses 2024: $2,544,803,200Net Income 2024: $140,987,5642024

Highlighted filing

2020

Revenue$1,902,925,267
Expenses$1,991,189,681
Net Income-$88,264,414
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 10, 2021
Return Version
2020v4.1
Gross Receipts
$17,320,033,629
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$4,571,360,684$5,322,274,360▲ $750,913,676
Investments Other Securities$472,632,336$609,497,892▲ $136,865,556
Land, Buildings, and Equipment, Net$455,922,231$415,461,362▼ $40,460,869
Prepaid Expenses and Deferred Charges$104,885,463$111,587,818▲ $6,702,355
Investments Program Related$35,185,949$34,121,641▼ $1,064,308
Inventories for Sale or Use$3,862,102$11,966,125▲ $8,104,023
Pledges and Grants Receivable$1,201,869$960,962▼ $240,907
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Savings and Temporary Cash Investments$44,563,283$-84,423,554▼ $128,986,837
Total Assets$6,828,837,649$6,846,370,331▲ $17,532,682
Other Assets Total$1,139,223,732$424,923,725▼ $714,300,007
Liabilities
Other Liabilities$1,383,122,017$3,802,682,172▲ $2,419,560,155
Accounts Payable and Accrued Expenses$1,447,787,636$1,181,787,789▼ $265,999,847
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$2,830,909,653$4,984,469,961▲ $2,153,560,308
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$3,990,397,871$1,853,018,083▼ $2,137,379,788
Net Assets With Donor Restrictions$7,530,125$8,882,287▲ $1,352,162
Total Net Assets Fund Balance$3,997,927,996$1,861,900,370▼ $2,136,027,626
Total Liabilities and Net Assets / Fund Balance$6,828,837,649$6,846,370,331▲ $17,532,682

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$262,115,600$1,217,136,626$1,479,252,226
Buildings$84,664,967$51,468,252$136,133,219
Leasehold Improvements$17,144,342$46,836,175$63,980,517
Other Land Buildings$29,796,607$3,160,563$32,957,170
Land$21,739,846-$21,739,846
Other Assets Org$332,678,832--
Other Securities$609,497,892--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2020$5,191,614$0▲ $623,388$0$5,815,002
2019$5,034,190$5,000▲ $227,424$75,000$5,191,614
2018$5,090,034-▼ $55,844-$5,034,190
2017$0$5,000,000▲ $90,034$0$5,090,034
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Sarah KrevansPres. & CEO, Sutter HealthFT$1,824,667$1,738,008$3,562,675
Jeff GerardSh SVP / Strgy Srvs & CSOFT$169,640$2,750,072$2,919,712
James ConfortiSh SVP / COOFT$1,058,033$1,404,245$2,462,278
Florence Di BenedettoSVP & General Counsel/Asst SecFT$756,810$1,057,633$1,814,443
Rishi Sikka MDPresident,sh System EnterpriseFT$754,775$1,007,418$1,762,193
Jeff SpragueSH SVP & CFO (pt-yr)FT$819,203$874,410$1,693,613
Conrad Vial MDSH SVP, Chief Clinical OfficerFT$922,227$684,359$1,606,586
Jill RagsdaleSVP/chief People & Culture OffFT$716,653$877,645$1,594,298
Elizabeth Vilardo-MorganCEO, SbmfFT$731,066$676,524$1,407,590
Stephen H LockhartSh SVP / CMOFT$639,756$736,967$1,376,723
Phil JacksonCEO, Health Plan ProductsFT$675,909$691,498$1,367,407
Julie A PetriniCEO, Bay Area HospitalsFT$737,595$614,959$1,352,554
Theresa M FreiCEO, SvmfFT$630,412$583,616$1,214,028
Jeremy EavesCEO, Sutter Shared ServicesFT$644,190$477,090$1,121,280
Don L WredenSVP/Patient ExperienceFT$109,162$813,296$922,458
Jeffrey SzczesnySH VP, HR OperationsFT$504,715$388,734$893,449
Brian DeanSH SVP & CFO (Pt-yr)FT$456,868$323,687$780,555
Ed ErwinDirector Real Estate Svcs/Asst SecFT$250,179$74,234$324,413
Jes CorneliusChief Information OfficerFT$228,339$74,171$302,510
Robert Peabody Jr MDDirector/SVMF Dept ChairPT$12,283$12,825$25,108
Cheryl ScottDirector/SecretaryPT$11,458-$11,458
Herbert BarlowDirector / Chair Finance & PlanningPT$11,458-$11,458
Sharon McCollamDirector/ChairPT$11,458-$11,458
Anthony WagnerDirectorPT$11,458-$11,458
Barry WilliamsDirectorPT$11,458-$11,458
Colleen DunnDirectorPT$11,458-$11,458
David NasawDirectorPT$11,458-$11,458
Gary CaineDirectorPT$11,458-$11,458
Helen ThomsonDirectorPT$11,458-$11,458
James Ferrara MDDirectorPT$11,458-$11,458
Joan Smith-Maclean MDDirectorPT$11,458-$11,458
Ken McNeeleyDirectorPT$11,458-$11,458
Vinita GuptaDirectorPT$11,458-$11,458
Patrick BlakeDirectorPT$9,167-$9,167
Barry DennisDirectorPT$4,583-$4,583
I-Mei Hsiu MDDirectorPT$4,583-$4,583

Board Members and Trustees

NameTitle
Charles WirthFormer CEO, SPS

Highest Paid Contractors

ContractorServicesLocationCompensation
Rightsourcing INCStaffing Services999 STEWART AVE STE 100, Bethpage, NY 11714-3632$126,922,543
Rudolph And Sletten INCGeneral Contractor2 CIRCLE STAR WY 4TH FL, San Carlos, CA 94070-6200$45,322,751
Herrero Builders INCConstruction Svcs2100 OAKDALE AVE, San Francisco, CA 94124$33,523,559
Quest Media And Supplies INCIt Services9000 FOOTHILLS BLVD STE 100, Roseville, CA 95747$20,774,965
Ge Precision Healthcare LLCMed EQUIP MAINT SRVS3000 NO GRANDVIEW BLVD, Waukesha, WI 53188-1615$17,809,511
Revenue and Support

Revenue Composition

Contributions and Grants
$4,363,895
Program Service Revenue
$1,673,066,132
Investment Income
$210,754,326
Other Revenue
$14,740,914
All Other Contributions
$1,665,794
Change in Net Assets
$-88,264,414

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Securities Publicly Traded2$140,884Fair Market Value (FMV)
Total Noncash Contributions2$140,884-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,045,662,058
Other Expenses$943,668,517
Grants and Similar Amounts Paid$1,859,106
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$662,974,039--$662,974,039
Other Employee Benefits$231,827,123$11,273,952-$243,101,075
Information Technology$231,159,379$4,047,921-$235,207,300
Depreciation Depletion$111,030,975--$111,030,975
Pension Plan Contributions$59,736,027$1,456,636-$61,192,663
All Other Expenses$56,253,891$4,741,431-$60,995,322
Payroll Taxes$56,344,119--$56,344,119
Fees for Services Management$32,352,948$12,428,532-$44,781,480
Fees for Services Legal$43,298,450--$43,298,450
Occupancy$35,291,148--$35,291,148
Office Expenses$26,501,354$50,114-$26,551,468
Current Officers, Directors, Trustees, and Key Employees-$21,046,581-$21,046,581
Fees for Service Investment Mgmnt Fees-$18,511,039-$18,511,039
Advertising$11,530,938$14,410-$11,545,348
Insurance$6,675,754--$6,675,754
Interest$5,194,243--$5,194,243
Travel$3,308,636$264,180-$3,572,816
Conferences and Meetings$1,360,170$1,198,986-$2,559,156
Fees for Services Accounting$2,516,605--$2,516,605
Comp Disqual Persons-$1,003,581-$1,003,581
Grants to Domestic Orgs$1,002,530--$1,002,530
Fees for Services Other$875,951$31,463-$907,414
Grants to Domestic Individuals$856,576--$856,576
Fees for Services Lobbying-$198,000-$198,000
Other Expenses$4,918$1,899,749-$4,918
Total Functional Expenses$1,913,020,617$78,169,064$0$1,991,189,681
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Medshare InternationalDecatur, GA501(c)(3)Program Support$200,000
March of Dimes IncArlington, VA501(c)(3)Program Support$135,000
Ambulatory Surgery AccessSan Francisco, CA501(c)(3)Program Support$100,000
Leukemia and Lymphoma Society IncRye Brook, NY501(c)(3)Program Support$85,000
American National Red CrossWashington, DC501(c)(3)Program Support$50,000
Coalition for Compassionate Care of CASacramento, CA501(c)(3)Program Support$50,000
Salvation ArmySacramento, CA501(c)(3)Program Support$34,645
Sec Harvest Fb Sntc San Mateo CountiesSan Jose, CA501(c)(3)Program Support$33,500
San Francisco Food BankSan Francisco, CA501(c)(3)Program Support$32,500
Food Bank of Contra Costa and SolanoConcord, CA501(c)(3)Program Support$26,715
Fisher House Foundation IncRockville, MD501(c)(3)Program Support$25,000
Okizu FoundationNovato, CA501(c)(3)Program Support$25,000
River City Community ServicesSacramento, CA501(c)(3)Program Support$18,215
Sec Harvest Fb of San Joaquin & Stanislaus CoManteca, CA501(c)(3)Program Support$18,215
Alameda County Community Food BankOakland, CA501(c)(3)Program Support$17,500
Sec Harv Fb of Santa Cruz and San Benity CntyWatsonville, CA501(c)(3)Program Support$16,500
Tracy Interfaith MinistriesTracy, CA501(c)(3)Program Support$13,215
Placer Food BankRoseville, CA501(c)(3)Program Support$12,215
Davis Street Community CenterSan Leandro, CA501(c)(3)Program Support$10,000
Elk Grove Community Food Bank ServicesElk Grove, CA501(c)(3)Program Support$9,215
Food Bank of Yolo CountyWoodland, CA501(c)(3)Program Support$9,215
Interfaith Council of AmadorJackson, CA501(c)(3)Program Support$6,715
Ceres Community ProjectSebastopol, CA501(c)(3)Program Support$6,250
Redwood Empire Food BankSanta Rosa, CA501(c)(3)Program Support$6,250
United Methodist Church of Los BanosLos Banos, CA501(c)(3)Program Support$5,715

International Summary

Offices
0
Employees
0
Spending
$967,043,076

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
Yes
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestments-00$840,814,031
Europe (Including Iceland and Greenland)Investments-00$83,446,315
North AmericaInvestments-0-$42,782,730
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Taxable Bond Liabilities$1,979,307,043
Other Noncurrent Liabilities$946,412,923
Self Insurance Reserve$476,873,001
Short-term Borrowings$399,940,000
3rd Party Settlements$149,205
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 1A

THE AFFAIRS AND MANAGEMENT OF SUTTER HEALTH ARE governed BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE HAS THE POWER TO ACT ON BEHALF OF THE BOARD AND TO TRANSACT ALL REGULAR BUSINESS DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD. THE EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR, WHO SERVES AS CHAIR OF THE COMMITTEE, THE CHAIR OF THE FINANCE AND PLANNING COMMITTEE, THE SECRETARY, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND AT LEAST ONE DIRECTOR-AT-LARGE OF THE CORPORATION.

Form 990, Part VI, Line 11B

Process used by management &/or governing body to review form 990: sutter health has a centralized tax department responsible for the preparation of the form 990. Annually the tax department receives and provides training and education to appropriate personnel who assist the tax department in collecting and reviewing data to be reported on the form 990. The preparation material is reviewed by various departments including tax, finance, legal, and human resources. A national accounting firm prepares and reviews the return. A completed return is then reviewed by the tax department, legal department, finance, and the cfo before the return is filed.

Form 990, Part VI, Line 12

Process to monitor transactions for conflicts of interest: employees are educated on the conflict of interest policy and the need to make disclosure as part of annual compliance education. In addition, annually a disclosure statement is completed by all directors, officers and key employees. On this statement the individual will list a wide range of information which includes business relationships, employment relationships, property interests, and those of related parties. If there is a potential conflict of interest related to a particular transaction, the interested individual must disclose the existence and nature of the relationship. The board chair may appoint a disinterested person or committee to investigate the conflict. The board may consult with the office of the general counsel as necessary. Until the potential conflict is resolved, the board chair (or committee chair as applicable) may request the individual to not participate during related presentations and discussions. In all circumstances involving an actual conflict, the interested individual shall leave the room prior to the board's final discussion and vote.

Form 990, Part VI, Line 15

Process for determining compensation: the compensation committee of the sutter health board of directors retains ultimate discretionary authority over all elements of compensation to assure that organizational purposes are appropriately being served. The compensation committee uses credible data sources and maintains an objective "arms length" decision-making process, ensuring the integrity of sutter's executive programs and consistency with the organization's overall mission. In order to ensure external competitiveness, national compensation data comparisons are reviewed. Competitive analysis includes: (a) base salary, (b) total cash (base salary + annual incentive), (c) total direct cash (base salary + annual incentive + long term incentive) and (d) total remuneration (base salary + annual incentive + benefits and long term incentive). This analysis includes national comparisons for organizations similar in size, scope and complexity as sutter health. This method is most appropriate since it is a national marketplace in which sutter competes for executive talent. Officers and key employees of this organization undergo an annual review by the compensation committee or a delegated sub-committee. Approval is recorded in the minutes. The 2020 executive compensation approval was completed in february 2020.

Form 990, Part VI, Line 19

Availability of governing documents, coi policy & financial statements: the sutter health system posts its current and past audited financial statements at sutterhealth.org. Other documents are also located at this website including the annual report, mission statement, history, and links to affiliate websites. The governing documents and conflict of interest policy are not available to the public at this time.

Filing and Contact Details

Filer

Filer Name
Sutter Health
EIN
94-2788907
In Care Of
% JONATHAN ZACHRESON
Phone
9162866665
Address
2200 RIVER PLAZA DRIVE, SACRAMENTO, CA 95833

Signing Officer

Name
Brian Dean
Title
SVP & CFO
Phone
9162866665
Signed
2021-11-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Sarah Krevans
Formed
1981
Legal Domicile
CA
Voting Board Members
18
Independent Board Members
16
Employees
9,789
Volunteers
0

Preparer

Firm
Ernst & Young US Llp
Address
560 MISSION ST STE 1600, SAN FRANCISCO, CA 94105
Preparer
Eva NITTA
Phone
4158948000
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1 and Part III, Line 1

Mission statement: we enhance the well-being of people in the communities we serve through a not-for-profit commitment to compassion and excellence in health care services.

Form 990, Part III, Line 4

STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Sutter Health, headquartered in Sacramento, California, is one of the largest not-for-profit health care systems in the United States. Entities affiliated with Sutter deliver integrated care to more than 3 million patients annually through a network of hospitals, medical foundations, urgent and walk-in care centers, home health and hospice services. The Sutter Health system relies on the dedication of more than 85,000 clinicians, nurses, employees and volunteers to deliver high quality and affordable care to more than 100 communities. The mission of Sutter Health is to enhance the well-being of people in the communities it serves through a not-for-profit commitment to compassion and excellence in health care services. The Sutter vision is to lead the transformation of health care to achieve the highest levels of quality, access and affordability. Sutter Health provides certain centralized support functions to the system, including administrative services and system initiatives, to accomplish this mission. Grounded in its not-for-profit mission, Sutter Health heavily reinvests in its communities, committing hundreds of millions of dollars annually to support clinics and community-based hospitals-providing care for the most vulnerable populations. Sutter Health has been one of the largest providers of compassionate care to low-income patients in Northern California. The financial assistance programs for covered services provide free or discounted care based on income criteria and ineligibility for governmental and insurance programs. From deploying technology that improves the patient experience to supporting strong community partnerships, the strength of Sutter's integrated system provides a model that can shape the future of healthcare. Sutter Health's goal is to be the preferred provider to its patients and customers, the best place to work and a role model of community citizenship. The Sutter Health system consists of: . 55,000+ employees and 12,000+ doctors . 5,000 volunteers . 2,000 advanced practice clinicians . 30 acute care campus facilities with 4,167 licensed acute care beds . 277 medical foundation clinic facilities . 16 home health care locations . 9 hospice locations . 33 ambulatory surgery centers . 8 cardiac centers . 9 cancer centers . 4 acute rehabilitation centers . 6 mental health and addiction care centers . 5 trauma centers . 7 neonatal intensive care units . Medical research centers . Education centers and physician training programs . Philanthropic programs . Health plan (Sutter Health Plus) 2020 by the numbers: . 27,493 births . 174,779 discharges . 691,176 hospital emergency room visits . 1,490,194 hospital outpatient visits . 8,370,331 medical foundation visits . 872,542 patient days . 685,841 home health visits . 234,811 hospice visits To view a list of Sutter Health affiliates, see Form 990, Schedule R.

Form 990, Part X, Line 20

Sutter health is a conduit borrower of tax-exempt bond issues and allocates portions of each issue to certain subsidiary organizations of which it is the sole corporate member. The outstanding bond liability allocated to these subsidiary organizations is reported on each subsidiary organization's form 990, part x, balance sheet and schedule k.

Form 990, Part XI, Line 9

OTHER CHANGES IN FUND BALANCE: EQUITY TRANSFER (NET) (2,270,330,924) K-1 Activity (12,383,918) PARTNERSHIP INCOME ON BOOKS 2,711,164 PENSION RELATED CHANGES (120,567,416) OTHER CHANGES IN FUND BALANCE (441,809) -------------- TOTAL ($2,401,012,903) ==============

Financial Statement Notes

Schedule D, Part V, Line 4

Intended uses of endowment funds: michael and judith gaulke innovation hatchery endowment fund - to support the sutter health innovation hatchery, as directed by the sutter chief innovation officer in consultation with the sutter health president and chief executive officer. Schedule d, part x, line 2 asc 740 footnote: this organization was part of a consolidated financial system audit. The asc 740 audit footnote disclosure for the sutter system is as follows: sutter health, the legal entity, and many affiliates have been determined to be exempt organizations by the internal revenue service and the california franchise tax board and generally are not subject to taxes on income. Certain activities of sutter are subject to income taxes; however, such activities are not significant to the consolidated financial statements. With respect to its taxable activities, sutter records income taxes using the liability method, under which deferred tax assets and liabilities are determined based on the differences between the financial accounting and tax basis of assets and liabilities. Deferred tax assets or liabilities at the end of each period are determined using the currently enacted tax rate expected to apply to taxable income in the periods that the deferred tax asset or liability is expected to be realized or settled. Sutter recognizes the tax benefit from uncertain tax positions, only if it is more likely than not that the tax positions will be sustained on examination by the tax authorities, based on the technical merits of the position. The tax benefit is measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. The statute of limitations for tax years 2017 through 2019 remain open in u.s. Tax jurisdictions in which sutter and its affiliates are subject to taxation. Sutter recognizes interest and penalties related to income tax matters in operating expenses. At december 31, 2020 and 2019, there were no such uncertain tax positions.

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$9,602$4,994$4,607$2,686$2,545$141
2023Detailed filing. Detailed filing data is available for this year.$8,620$4,271$4,349$1,883$2,070$188
2022Detailed filing. Detailed filing data is available for this year.$7,414$3,321$4,093$1,919$1,858$60.1
2021Detailed filing. Detailed filing data is available for this year.$7,363$3,458$3,905$2,416$1,822$593
2020Detailed filing. Detailed filing data is available for this year.$6,846$4,984$1,862$1,903$1,991$88.3
2019Detailed filing. Detailed filing data is available for this year.$6,829$2,831$3,998$1,925$2,471$546
2018Detailed filing. Detailed filing data is available for this year.$6,154$1,998$4,157$1,795$1,803$8.06
2017Detailed filing. Detailed filing data is available for this year.$6,183$1,760$4,423$1,761$1,560$200
2016Detailed filing. Detailed filing data is available for this year.$4,975$1,652$3,323$1,323$1,487$164
2015Detailed filing. Detailed filing data is available for this year.$4,434$1,450$2,984$1,275$1,366$91.5
2014Detailed filing. Detailed filing data is available for this year.$4,588$1,449$3,139$1,230$1,246$15.6
2013Detailed filing. Detailed filing data is available for this year.$5,062$1,090$3,973$998$1,142$143
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3,785$879$2,905$931
2011Summary only. Only limited summary data is available for this year.$3,124$775$2,350$756$716$39.9
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3,065$903$2,162$649